Provider Demographics
NPI:1548142706
Name:PRECISION WOUND MOBILE, LLC
Entity type:Organization
Organization Name:PRECISION WOUND MOBILE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-498-1460
Mailing Address - Street 1:9839 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-3625
Mailing Address - Country:US
Mailing Address - Phone:832-498-1460
Mailing Address - Fax:832-498-1460
Practice Address - Street 1:9839 HUDSON ST
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-3625
Practice Address - Country:US
Practice Address - Phone:832-498-1460
Practice Address - Fax:832-498-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Single Specialty
No251E00000XAgenciesHome Health